Healthcare Provider Details

I. General information

NPI: 1154256410
Provider Name (Legal Business Name): BREEZE HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 HIGHPOINT DR
GULF BREEZE FL
32561-4014
US

IV. Provider business mailing address

80 HIGHPOINT DR
GULF BREEZE FL
32561-4014
US

V. Phone/Fax

Practice location:
  • Phone: 850-232-0004
  • Fax: 850-232-0004
Mailing address:
  • Phone: 850-232-0004
  • Fax: 850-232-0004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: HOLLEY MOSELEY
Title or Position: PRESIDENT
Credential: RN
Phone: 850-776-8699